ClosureFast endovenous radiofrequency ablation for great saphenous vein and small saphenous vein incompetence: efficacy and anatomical failure patterns

Omar Rodriguez-Acevedo, Kristen E. Elstner, Kui Martinic, R. N. Isabelle Ibrahim, Rodrigo Tomazini Martins, Fernando Arduini, Nabeel Ibrahim*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)

Abstract

Background: Recurrence rates and patterns after endovenous radiofrequency ablation (ERFA) are poorly documented. Objective: To assess the incidence and anatomical recurrence patterns of saphenous vein reflux after ERFA. Method: Two hundred patients previously treated with ERFA were recalled for clinical assessment and venous-duplex ultrasound at three years post-treatment. Results: A total of 106 patients (68F, 38M) with a mean age of 49.4 years (SD +11.5y) were assessed. Mean follow-up was 42.1 months (SD + 20.1m). Further varicose veins were identified in 31 patients (29.2%). Recanalization/recurrence/failure was diagnosed in 16 patients (15.1%), including 18 trunks (8.7%), 13 great saphenous vein (6.3%) and 5 small saphenous vein (2.4%). Twenty-seven patients (25%) developed neo-incompetence in 31 trunks and 12 non-saphenous veins. All patients with truncal recanalization had a body mass index > 29 (range 29–42). Conclusion: Disease progression was twice as high as the recanalization rate at three years post-treatment using ERFA in this study. Raised body mass index may be a contributing factor; however, further longitudinal studies are required. Patient self-selection bias may have also influenced our results.

Original languageEnglish
Pages (from-to)266-271
Number of pages6
JournalPhlebology
Volume34
Issue number4
DOIs
Publication statusPublished - 1 May 2019

Keywords

  • Endovenous thermal ablation
  • radiofrequency ablation
  • recurrent varices
  • saphenous vein
  • small saphenous vein

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